Organization Active NPI

Kelamis Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1497346407
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
KELAMIS PLASTIC SURGERY, PLLC
Practice address
101 Grant Place
Suite a
Fayetteville, AR 72703-5255
Phone
(479) 935-3227
Fax
(833) 927-2540
NPI assigned
Feb 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Alexander Kelamis, MDNPI 1821263765
Title
Plastic Surgeon/Owner
Phone
(918) 408-3549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

101 Grant Place
Suite a
Fayetteville, AR 72703-5255

Mailing address

2905 N Rom Orchard Rd
Fayetteville, AR 72703-4679
Phone (479) 316-3430

Other identifiers 2

IdentifierTypeStateIssuer
209751001MedicaidAR
425716AD6DOtherARMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319000200 AR Part B Supplier - Clinic/Group Practice 8820405897 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR; Lowell, AR

National Provider Directory

National Provider Directory

Locations

1792 E Joyce Blvd
Fayetteville, AR 72703
Phone (479) 316-3003

1792 E Joyce Blvd
Ste 1A
Fayetteville, AR 72703
Phone (479) 935-3227

1792 E Joyce Blvd
Ste 2
Fayetteville, AR 72703
Phone (479) 316-3003

101 Grant Pl
Ste A
Lowell, AR 72745
Phone (479) 275-3520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1497346407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N ROM ORCHARD RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034679",
            "telephone_number": "479-316-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GRANT PLACE",
            "address_2": "SUITE A",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035255",
            "telephone_number": "479-935-3227",
            "fax_number": "833-927-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELAMIS PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "KELAMIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PLASTIC SURGEON/OWNER",
        "authorized_official_telephone_number": "918-408-3549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209751001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "425716AD6D",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.